Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD452846 | PA |
Y | 111NI0900X | Internist | MD452846 | PA |
N | 207RH0002X | Hospice and Palliative Medicine | MD452846 | PA |
NPI | 1063640217 |
---|---|
Provider Name | Dr. Lin Lin |
First Address | San Antonio, TX 78240-1537 |
Second Address | San Antonio, TX 78229-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2009 |
Last Update Date | 04/09/2014 |